HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
17 Building& Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT =RECEED
Re: Permit# 190O -- 0,' `q0
I, a 'l�e licensed as a(n)Contractor*/Engineer/Architect
(Please print na &circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about - I S-eq , I did personally inspect the roof deck nailing
(Date)
work at: 'S-))0 1 sA,)OeJS t.. A!j F-1 p`e F/ 3 UI -
(jVb site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
isJn
C� Q 0- e k33\k-1
Signature and Sea License#
STATE OF FLORIDA
COUNTYOF
Sworn to and subscribed before me this 5 day of V\ 201�,
byVoA a, v.k -J +y . Who is personally known to me or who has produced
as identification.
Notary Public,Stat f Florida DEA NNANlARIEGKN'S
Signature of Notary - '= MYCOMI&ISSION##GGo22M
Commission Number: CrCra"?-tea- _ = p hecemea�1ti "��c
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